New Emergency C-Section Data Format

We have the new format Emergency C-Section data just loaded for April, May and June 2019. The number of trusts actually reporting in the new format has gone down from around 120 to 80 or so. We expect that to improve as they start to support the new format.

Here’s the Statistical Process Control chart for one leading trust who’s been steadily improving their performance in this area over time.

That’s what these data are for!

Another Big Data Day

It’s one thing to talk about “big data”, it’s another to make it accessible, day in, day out, and in a form which is actually usable by real people, not just analysts.

That’s what Public View does.

Here’s some or the data loaded today. We never stop, but we don’t process the really big data sets until the evening so they don’t affect performance for users during the day.

Some of the data loaded today

Processing involves reading, understanding and formatting data from sources as different as NHS manually prepared CSV files unstable formats through to PDF files hiding the data in places you’d not think to look.

This is what we do, so you don’t have to.

Always Fresh!

Another Thursday, another set of metric updates delivered within minutes of publication of the raw data! Here’s a summary of Thursday’s updates..

LoadedMetric
13/06/2019Cancer 31 Day Wait for First Treatment
13/06/2019Cancer 62 Day All Sources
13/06/2019Cancer 62 Day Screening
13/06/2019Cancer 2 Week Wait
13/06/2019Cancer 62 Day Classic
13/06/2019A&E – 4 Hour Standard
13/06/2019A&E – Long Wait for Admission
13/06/2019Outpatient DNA Rate
13/06/2019Friends & Family Test Inpatient Score
13/06/2019RTT Incomplete 18 Week Standard
13/06/2019RTT Average Wait for Incomplete
13/06/2019RTT 52 Week Breach
13/06/2019Diagnostics – 6 Week Standard
13/06/2019Mixed Sex Accommodation Breaches
13/06/2019Cancelled Operations
13/06/2019Day Surgery Rate
10/06/2019Harm Free Care Score

New NHS Indicators

On 11th March 2019, NHS England published a clinically-led review of NHS Access Standards https://www.england.nhs.uk/publication/clinical-review-nhs-access-standards/. This report proposes new a suite of that are believed to offer an opportunity to better serve patients.

This proposed change sees an expansion to targets for Mental Health and Community services and reshaping of the Acute A&E, Cancer and Elective care access standards. The proposed standards are now being tested at a selection of sites across England, before wider evaluation and formal implementation. Before any final changes are implemented to the standards, which are set out in legislation a public consultation will be conducted.

For the acute sector the proposed indicators for A&E, Cancer and Elective care are as follows;

  • A&E – Time to initial clinical assessment
  • A&E – Time to emergency treatment
  • A&E – Average total time in A&E
  • A&E – Utilisation of same day emergency care
  • Cancer – Faster diagnosis standard
    • Maximum 28-day wait to communication of definitive cancer/not cancer
  • Cancer – Maximum 62 day wait to first treatment from all referral sources
  • Cancer – Maximum 31-day wait from decision to treat to treatment
  • Elective care:
    • Either defined number of maximum weeks wait for incomplete (same as current), but with a review of the percentage threshold to be within 18 weeks (currently 92%); or
    • Average wait target for incomplete pathways
    • Elective care – 26-week patient choice offer
    • Elective care – 52-week treatment guarantee

Over the past two weeks the team at Public View have been working to bring all users the first view of how they are performing against the proposed standards. There is still more work to do to get the complete suite, but just two weeks after new standards being proposed Public View has scoured the public data sets to bring together the first benchmarking of 7 of the 10 new proposed standards.

To view your hospital’s performance against the new indicators, plus many others, click here to log in or contact us to see what Public View can do.

Q1 Finances

Earlier today, NHS Improvement published their quarterly performance report. This contains a summary of performance against the main regulatory metrics including A&E, 18 week and Cancer. But it also contains one of the only opportunities to compare financial performance.

At the end of Quarter 1, on one hand things are good, the provider sector forecasts it will finish the year on plan. But one the other, financial stability remains a problem as this is against a planned deficit for the year of £519 million. That said if providers can keep to plan it will be a marked improvement on 17/18 which ended with a deficit of £966 million.

Looking at financial performance at a provider level it is concerning to see that only 10 providers have reported a surplus position for Q1, particularly given that 51% have a plan for surplus by the end of 18/19. But for those 10 delivering a surplus must be commended.

Reviewing the preset comparison groups on Public View it is clear that financial performance is continuing to correlate closely with CQC rating. Average income and expenditure position for CQC groups as follows;

  • Outstanding -0.1%
  • Good -4.6%
  • Requires Improvement -8.8%
  • Inadequate – 13.3%

To view the full list and see how your organisation’s performance compares to peers click here to register for a free trial account.